The aluminum beverage tab and a soldier with chronic abdominal pain

Ingestion of food by-products, such as peach pits, chicken bones and fish bones, may lead to intestinal complications. The ingestion of the foreign body is often acute and non-intentional. Acute and life-threatening complications include intestinal perforation or obstruction. Sharp-pointed objects are associated with an estimated 35% rate of complications within the gastrointestinal tract prior to passage and require prompt removal. Endoscopic retrieval is often recommended if foreign objects have not transited beyond the proximal duodenum. We present a unique case of a previously healthy 23-year-old male suffering months of abdominal pain. While the initial presentation and imaging were suspicious for Crohn’s disease, the endoscopic findings were unexpected. Numerous chicken bone fragments were clustered in the caecum and in the terminal ileum. The distal terminal ileum was edematous and ulcerated. Subsequent patient history revealed years of chronic and intentional foreign body consumption with recent onset of abdominal pain.

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The aluminum beverage tab and a soldier with chronic abdominal pain

Cited by 2 publications

References 10 publications

Ingested aluminum tab not visible on XRAY: A case report

Ingested aluminum tab not visible on XRAY: A case report

Chronic intentional chicken bone ingestion mimicking inflammatory bowel disease

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